| NPI | 1356712962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5008023) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: NC 227562) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2018-08-20 |